Organization
NORTHERN PINES ORTHOPAEDIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL L BAKER M.D. (C E O)
(218) 326-6677
Entity
Organization
Contact information
Practice address
111 GOLF COURSE RD, SUITE 3, GRAND RAPIDS, MN 55744-3526
(218) 326-6677
(218) 326-0400
Mailing address
111 GOLF COURSE RD, SUITE 3, GRAND RAPIDS, MN 55744-3526
(218) 326-6677
(218) 326-0400
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
0-278-043-264
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1068
STATE OF MN REGISTRATION
MN
Enumeration date
08/22/2014
Last updated
09/15/2014
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